MILWAUKEE CENTER FOR INDEPENDENCE INC


Address: 1040 S 70th St, Milwaukee, WI 53214-3164
Phone: 4144769675

MILWAUKEE CENTER FOR INDEPENDENCE INC (NPI# 1750326518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750326518
Entity Type Organization
Organization Name MILWAUKEE CENTER FOR INDEPENDENCE INC
Other Organization Name TLS BEHAVORIAL HEALTH
Practice Address 1040 S 70th St
Milwaukee
WI 53214-3164
Mailing Address 1040 S 70th St
Milwaukee
WI 53214-3174
Practice Telephone 4144769675
Practice Fax Number 4146150627
Mailing Telephone 4144769675
Mailing Fax Number 4146150627
Enumeration Date 2006-06-17
Last Update Date 2017-02-09
Authorized Official Name HOWARD GARBER (PRESIDENT AND CEO)
Authorized Official Telephone 4149372020
Is Organization Subpart Y
Parent Organization Name MILWAUKEE CENTER FOR INDEPENDENCE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
Nursing Service Providers
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 251S00000X Community/Behavioral Health Agencies
N 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
N 103TH0004X Psychologist
Specialization: Health
Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
1933 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 42128300 05
WI RAILROAD MEDICARE PART B DD9253 01

Other Provider/Organization Names

Other Name Type Code
TLS Behavorial Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710071501 Milwaukee Center for Independence Inc Clinic/Center 2020 W Wells St, Milwaukee, WI 53233-2720 2006-10-03
1134142839 Milwaukee Center for Independence Inc Pharmacy 932 S 60th St, West Allis, WI 53214-3369 2006-07-25
1811280621 Milwaukee Center for Independence Inc Clinic/Center 2020 W Wells St, Milwaukee, WI 53233-2720 2011-05-26

Office Location

Street Address 1040 S 70TH ST
City MILWAUKEE
State WI
Zip Code 53214-3164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265868582 Kristin M Haywood Social Worker 1040 S 70th St, Milwaukee, WI 53214-3174 2013-09-18
1851734743 John Barsley Pike Pharmacist 1040 S 70th St, Milwaukee, WI 53214-3174 2013-04-10
1851638365 Luz Maria Franklin Counselor 1040 S 70th St, Milwaukee, WI 53214-3174 2013-01-04
1285987263 Michelle Marie Maltar Pharmacist 1040 S 70th St, Milwaukee, WI 53214-3174 2012-10-16
1114225455 Ruth M Bazelak Pharmacist 1040 S 70th St, Milwaukee, WI 53214-3174 2011-03-10
1144528696 Walter George Schimming Jr. Pharmacist 1040 S 70th St, Milwaukee, WI 53214-3174 2011-03-08
1356570501 Transitional Living Services, Inc Community Based Residential Treatment Facility, Mental Illness 1040 S 70th St, Milwaukee, WI 53214-3174 2009-07-09
1457597932 Geraldine Rebecca Pikalek Counselor 1040 S 70th St, Milwaukee, WI 53214-3174 2009-01-05
1851573836 Transitional Living Services, Inc Case Management 1040 S 70th St, Milwaukee, WI 53214-3174 2007-11-30
1033302229 Milwaukee Center for Independence Community/Behavioral Health 1040 S 70th St, Milwaukee, WI 53214-3174 2007-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740740208 Melanie Figueroa Counselor West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 2019-03-21
1619403011 Lea Salome Denny Counselor 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 2017-05-04
1891148318 West Allis Prescription Center Inc Pharmacy 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 2016-07-20
1316390495 Kristina Overlee Nurse Practitioner 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 2016-07-13
1801239843 Daniel Anthony Cichy Pharmacist 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 2013-04-09
1295072544 Wisconsin Vision, Inc. Optometrist 1220 Miller Park Way, West Milwaukee, WI 53214 2013-01-07
1831457720 Kevin Konieczka Physical Therapist 1224 Miller Parkway, Milwaukee, WI 53214 2012-04-27
1497031843 Jill Elizabeth Gerou Registered Nurse 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 2011-10-31
1700176815 Carolyn Hasek Counselor 1126 S 70th St Ste 112-113, West Allis, WI 53214 2011-04-10
1972802775 Barbara Smith Licensed Practical Nurse 651 S 63 St, Apt1, Milwaukee, WI 53214 2011-03-18
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1689149700 Birt Supportive Services LLC Clinic/Center 4868 N 89th St, Milwaukee, WI 53225-4106 2018-10-04
1285181735 Aurora Family Services Clinic/Center 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 2016-09-01
1679981328 Life Changing Ministries Substance Abuse Services Clinic/Center 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 2014-07-25
1962839589 Shoreview Counseling Services Clinic/Center 4950 N 21st St, Lower Level, Milwaukee, WI 53209-5750 2013-09-27
1952608721 Community Advocates, Inc Clinic/Center 4906 W Fond Du Lac Ave, Milwaukee, WI 53216-2325 2011-02-14
1841438769 Counseling & Transition Center Inc Clinic/Center 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 2009-01-30
1639193212 Horizon Healthcare, Inc Clinic/Center 5408 W Burleigh St, Milwaukee, WI 53210-1624 2006-07-27
1053934034 Heather Hart Kennedy, Lcsw, LLC Clinic/Center 1110 N Old World 3rd St Ste 401, Milwaukee, WI 53203-1117 2020-05-25
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Competitor

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City MILWAUKEE
Zip Code 53214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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